SEA CHANGE SANTA MONICA, LP (NPI# 1063899524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063899524 |
| Entity Type | Organization |
| Organization Name | SEA CHANGE SANTA MONICA, LP |
| Practice Address |
1831 Wilshire Blvd C Santa Monica CA 90403-5777 |
| Mailing Address |
212 26th St # 102 Santa Monica CA 90402-2524 |
| Practice Telephone | 3108776030 |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-07-08 |
| Authorized Official Name | CAROLE ANDRESS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3108776030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 190831AP | CA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306354634 | Sea Change Santa Monica, Lp | Clinic/Center | 1051 Princeton St, Santa Monica, CA 90403 | 2018-01-22 |
| Street Address |
1831 WILSHIRE BLVD C |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90403-5777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639197635 | Richard A. Greenberg | Psychiatry & Neurology | 1831 Wilshire Blvd, Ste 201, Santa Monica, CA 90403-5777 | 2006-07-17 |
| 1558450379 | Ra Greenberg Medical Corp. | Counselor | 1831 Wilshire Blvd, #201, Santa Monica, CA 90403-5777 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427520972 | Isobel Gardner | Marriage & Family Therapist | 2730 Wilshire Boulevard #650, Santa Monica, CA 90403 | 2018-12-21 |
| 1477030369 | Jennifer Garcia | Dentist | 2901 Wilshire Blvd Ste 255, Santa Monica, CA 90403 | 2018-07-23 |
| 1215435847 | The Balance Lab Physical Therapy and Fitness | Physical Therapist | 2924 Wilshire Blvd, Santa Monica, CA 90403 | 2018-01-29 |
| 1306354634 | Sea Change Santa Monica, Lp | Clinic/Center | 1051 Princeton St, Santa Monica, CA 90403 | 2018-01-22 |
| 1114446226 | Jafary Foot & Ankle Specialists LLC | Podiatrist | 2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403 | 2017-09-11 |
| 1023553906 | Jory Faermark | Speech-Language Pathologist | 1158 26th Street, #417, Santa Monica, CA 90403 | 2016-12-30 |
| 1376095042 | William Michael Thornton | Chiropractor | 2118 Wilshire Blvd, #577, Santa Monica, CA 90403 | 2016-10-28 |
| 1801251723 | Lisa Lavoie | Naturopath | 1-935 Euclid St, Santa Monica, CA 90403 | 2015-12-18 |
| 1376915793 | Lisa Hanes | Marriage & Family Therapist | 1150 Yale Street, Suite 2, Santa Monica, CA 90403 | 2015-10-25 |
| 1386015386 | Natalie Kazarian | Marriage & Family Therapist | 2116 Wilshire Blvd Ste 241, Santa Monica, CA 90403 | 2015-10-15 |
| Find all providers in zip 90403 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972091999 | Foundation Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 222 Amalfi Dr, Santa Monica, CA 90402 | 2018-04-25 |
| 1477051761 | Sea Change Santa Monica, L.p. | Substance Abuse Rehabilitation Facility | 2205 Hill St, Santa Monica, CA 90405-5007 | 2018-02-01 |
| 1053823310 | Clare Foundation, Inc. | Substance Abuse Rehabilitation Facility | 2207 -1/2 23rd St, Santa Monica, CA 90405-1725 | 2017-10-26 |
| 1508378860 | Clare Matrix | Substance Abuse Rehabilitation Facility | 2207 & 2207 1/2 23rd Street, Santa Monica, CA 90405-1725 | 2017-10-26 |
| 1053855023 | Victorias House, LLC | Substance Abuse Rehabilitation Facility | 1813 12th St, Unit A, Santa Monica, CA 90404-4637 | 2016-12-11 |
| 1962839746 | Clare Matrix | Substance Abuse Rehabilitation Facility | 1869-1871 9th St, Santa Monica, CA 90404-4501 | 2013-10-10 |
| 1780021071 | Pacific View Recovery Center | Substance Abuse Rehabilitation Facility | 643 Pacific St, Unit 1, Santa Monica, CA 90405-2437 | 2013-05-28 |
| 1245521509 | Cast Recovery Services | Substance Abuse Rehabilitation Facility | 1830 Lincoln Blvd Ste 111, Santa Monica, CA 90404-4524 | 2011-04-21 |
| 1043537913 | Clare Matrix | Substance Abuse Rehabilitation Facility | 905-909 Pico Blvd., Santa Monica, CA 90405-1326 | 2010-04-30 |
| 1891268066 | Strategic Health Services LLC | Substance Abuse Rehabilitation Facility | 222 Amalfi Dr, Santa Monica, CA 90402-1126 | 2019-01-09 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90403 |
Please comment or provide details below to improve the information on SEA CHANGE SANTA MONICA, LP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.